Julião Miguel, Cruz Mário
Equipa Comunitária de Suporte em Cuidados Paliativos de Sintra, Sintra, Portugal.
Inválidos do Comércio IPSS, Lisboa, Portugal.
Palliat Support Care. 2024 Apr;22(2):424-426. doi: 10.1017/S1478951523000949.
Purple urine bag syndrome (PUBS) is a condition that causes an intense purple discoloration of the urine, predominately in frail, dependent, and bedridden persons who are chronically catheterized and have urinary tract infections. Despite being considered a benign syndrome, PUBS can cause great anxiety, fear, and distress in health professionals, chronically ill persons, and caregivers or family members who provide care.
We report the case of a 98-year-old institutionalized woman with Alzheimer's dementia with a long-term urinary catheter who developed PUBS.
Although alarming and distressing for the resident and the health-care team, PUBS was resolved by treating the underlying urinary tract infection and applying good genital hygiene and catheter replacement.
Identifying PUBS and its clinical features and management proved to be significantly helpful in ameliorating the anxiety, fear, and distress around the phenomenon.
紫色尿袋综合征（PUBS）是一种导致尿液强烈紫色变色的病症，主要发生在长期留置导尿管且患有尿路感染的体弱、依赖他人照料及卧床不起的人群中。尽管被认为是一种良性综合征，但PUBS会给医护人员、慢性病患者以及提供护理的照料者或家庭成员带来极大的焦虑、恐惧和困扰。
我们报告了一例98岁患有阿尔茨海默病痴呆症且长期留置导尿管的住院女性发生紫色尿袋综合征的病例。
尽管对患者和医护团队来说令人担忧和困扰，但通过治疗潜在的尿路感染、保持良好的生殖器卫生以及更换导尿管，紫色尿袋综合征得到了解决。
识别紫色尿袋综合征及其临床特征和处理方法被证明对缓解围绕该现象的焦虑、恐惧和困扰非常有帮助。
